Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207R00000X | Internist | A114870 | CA |
N | 111NI0900X | Internist | A114870 | CA |
Y | 207RG0300X | Geriatric Medicine | A114870 | CA |
NPI | 1023279528 |
---|---|
Provider Name | Dr. Vibha Ramaswamy Iyengar |
First Address | Mountain View, CA 94040-6203 |
Second Address | Mountain View, CA 94040-2833 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 18/06/2008 |
Last Update Date | 30/09/2014 |